vf Vendor Registration Form Unique IDPart 1Part 1 Category of the Product/Service:Category of the Product /ServiceMMD MedicalMMD Non-medicalHRBiomedicalPart 2 Organisational information:Name of the firm/company to be registred Registered office address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Name and address of the Chief Executive/Director/Owner/PartnersLatest List of Board of Directors/PartnersContact Person Name Landline NumberMobile NumberEmail Website Details of work facilities addressContact Person Landline NumberMobile NumberEmail Please specify Ownership type Ownership InformationManufacurerDealerTraderDistrbutorStockiestChannel PartnerIndian Sales officeSubsidiary of Registred foreign supplierIndian AgentsService ProviderSupplier without any shop or godownPlease select as applicableNature of BusinessGovt. Of India UndertakingState Govt. UndertakingPublic Limited CompanyPrivate Limited CompanyOne Person CompanyLimited Liability PartnershipPartnership FirmProprietorshipCo-Operative SocietyTrustOtherPlease select as applicableYear of commencement of Business DD slash MM slash YYYY Attach relevant documentMax. file size: 2 MB.proof of year of commencement of businessGovt registration particulars (Copy of relevant documents to be attached)Permanent Account No. (PAN) Upload PAN cardMax. file size: 2 MB.Aadhar Card No. Upload Adhar card noMax. file size: 2 MB.GSTIN (Applicable/exempted) Upload GSTINMax. file size: 2 MB.Import Export License Number upload Import Export License NumberMax. file size: 2 MB.Any other registration with Govt/State GovernmentSelectYesNoWhether approved by any Central Govt/State Government...for similar itemes for which registration is soughtSelectYesNoWhether Supplier Vendor Service Provider is StartupSelectYesNo2.7.h ISO Certification (If applicable)ISO 9001ISO 14000OHASAS 18000Registration Particulars EPF ESIC CONTRACT LABOUR (R&A) ELECTRICAL CONTRACTOR LICENSE only for service providers2.7.j Whether the comapany already registered with SRHU yes no Input Registration particulars proofs number Upload relevant documentsMax. file size: 2 MB.Whether the company is under litigation/arbitration cases during the last 5 yearsSelectYesNoWhether the company has been delisted/debarred from business with any similar company in INDIASelectYesNoAnd the reasons Upload an undertaking on non-judicial stamped paper that the firm has not been black listed in the past and there is no case pending against itMax. file size: 2 MB.Cases during 5 yearsTECHNICAL AND FINANCIAL DETAILSCarpet Area of Warehouse/ Godown in Sq. Ft. Manpower detailsQuality Control/Inspection facilities wherever applicationReadiness for participation in e-tendring/procurement Yes No Add Annual Turnover and Profit/Loss details 2023 2023 Annual Sales excluding other Income (Rs. Lakhs) 2023 Profit before Tax (PBT) (Rs. Lakhs) 2023 IT paid and copy of IT Returns 2022 annual turnover year 2022 Annual Sales excluding other Income (Rs. Lakhs) 2022 Profit before Tax (PBT) (Rs. Lakhs) 2022 IT paid and copy of IT Returns 2021 annual turn over 2021 Annual Sales excluding other Income (Rs. Lakhs) 2021 Profit before Tax (PBT) (Rs. Lakhs) 2021 IT paid and copy of IT Returns Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. 20232023 Annual Sales excluding other Income (Rs. Lakhs) 2023 Profit before Tax (PBT) (Rs. Lakhs) 2023 IT paid and copy of IT ReturnsMax. file size: 2 MB.2022 annual turnover year2022 Annual Sales excluding other Income (Rs. Lakhs) 2022 Profit before Tax (PBT) (Rs. Lakhs) 2022 IT paid and copy of IT ReturnsMax. file size: 2 MB.2021 annual turn over2021 Annual Sales excluding other Income (Rs. Lakhs) 2021 Profit before Tax (PBT) (Rs. Lakhs) 2021 IT paid and copy of IT ReturnsMax. file size: 2 MB.HiddenFinancial staments/IT Retrun for the past three yearsMax. file size: 2 MB.The Following information of the Bank Account of the firm/ company is to be submittedBank Account Number Name and Address of Bank Branch Name Name in the Bank Account City / Place Account Type IFSC No of Bank MICR Code List of names & addresses of all associates, subsidiary & Holdings ComapnyList of names & addresses of all associates, subsidiary & Holdings ComapnyNameAddresses of all associates subsidiary & holdings company Add RemoveExperience LIst:For suppliers/vendorsExperience list For suppliers/vendorsList of Present Capacity/CustomersName and Item category No of the itemm/equipment (for which registration has been sought) and for which Order(s) has been executedSpecify the size of equipment wherever Add RemoveCopy of work order(s)/ Service Contract (s) executed during the last three years to be submitted along with the performance certificate issued if any. Experience list For service providersName of the workclient's NameValue of the work contractDate of startingActual Date of completion of workFate of Completion as per contractRemarks Add RemoveList of your Customers with contact addressListName of the Client/CustomerContact Details(Address ,Phone)Brief Description (Supplies/Jobs) Add RemoveCopy of major work orders service contract last three year along with performance certificate if any*Max. file size: 2 MB.Copy of major ordersMax. file size: 2 MB.